MEDICARE: CHRISTINE B CALTOUM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	44654	MN
2	207X00000X	Orthopaedic Surgery Physician	01063874A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000533753	OTHER	IN	ANTHEM PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386620854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE B CALTOUM MD

Provider Business Mailing Address
First Line	:	250 N SHADELAND AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46219-4959
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 RILEY HOSPITAL DRIVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5218
Country	:	US
Telephone Number	:	317-274-1174
Fax Number	:	317-274-7197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2005
Last Update Date	:	03/04/2025

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Directions to “ CHRISTINE B CALTOUM MD” Practice Location

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